Role Summary

HIGHLIGHTS

Senior Health actuarial leadership role focused on Medicare Part D (MAPD/PDP) pricing, bids, and benefit design in Hartford, CT. You will lead a team, manage vendor relationships, coordinate CMS bid reviews, and set defensible actuarial assumptions. ASA or FSA and 10+ years of actuarial experience with Medicare Part D required.

JOB DESCRIPTION SUMMARY

Lead actuarial pricing and Part D bid strategy for MAPD/PDP products
Manage and develop a team of actuarial professionals
Own vendor relationships and coordinate CMS bid audits and desk reviews
Set and defend actuarial assumptions for risk scores, membership, and population change
Director-level role in Hartford, CT; ASA or FSA required

DOMAIN EXPERTISE

Medicare Part D bidding and pricing
Pharmacy or Medicare bid experience
Actuarial assumption setting for risk scores and membership
Vendor management for Part D bids
Regulatory interaction with CMS and bid audits

KEY REQUIREMENTS

10+ years of actuarial experience
ASA or FSA required
Prior Medicare Part D, pharmacy, or bid experience required
Prior people leadership experience with direct reports
Bachelor's degree required

TECH STACK

No tech stack specified

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead actuarial pricing and Part D bid strategy for MAPD/PDP products
Manage and develop a team of actuarial professionals
Own vendor relationships and coordinate CMS bid audits and desk reviews
Set and defend actuarial assumptions for risk scores, membership, and population change
Director-level role in Hartford, CT; ASA or FSA required